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Wave Diagnostics LLC

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Company Details

Name: Wave Diagnostics LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 13 Dec 2024 (6 months ago)
Business ID: 1468694
ZIP code: 39705
County: Lowndes
State of Incorporation: MISSISSIPPI
Principal Office Address: 445 Wilkins-Wise RoadColumbus, MS 39705

Agent

Name Role Address
Amy Frazier Agent 445 Wilkins-Wise Road, Columbus, MS 39705

Organizer

Name Role Address
Amy Frazier Organizer 168 Lawrence Street, Caledonia, MS 39740

Manager

Name Role Address
Amy Frazier Manager 445 Wilkins-Wise Road, Columbus, MS 39705

National Provider Identifier

NPI Number:
1730985722
Certification Date:
2025-05-02

Authorized Person:

Name:
AMY FRAZIER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QR0208X - Mobile Radiology Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR0200X - Radiology Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-28 Annual Report For Wave Diagnostics LLC
Amendment Form Filed 2025-03-25 Amendment For Wave Diagnostics LLC
Amendment Form Filed 2025-03-04 Amendment For Wave Diagnostics LLC
Formation Form Filed 2024-12-13 Formation For Wave Diagnostics LLC

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Date of last update: 11 May 2025

Sources: Company Profile on Mississippi Secretary of State Website